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• STATE ID NUMBER 00000066524001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> FfF.I n1 NFW PERMIT ( ) 05 RENEWED PERMIT f ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) OB MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> THE CHURCH OF JESUS CHRIST OF ( ) 01 FED f ) 02 STATE l ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 50 EAST NORTH TEMPLE ST. SALT LAKE CITY UT 84150 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON BISHOPS STOREHOUSE MARTIN AVILA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3112 LOOMIS ROAD W. 99 FRONTAGE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 3112 LOOMIS ROAD STOCKTON UT 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-943-1892 ( ) 01 GASOLINE STATION (X) 02 OTHER STOREHOUSE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MARTIN AVILA - 209-943-1892 MARTIN AVILA 209-464-1996 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 08601 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1980 C. YEAR INSTALLED 1981 l ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? f 7 01 YES ( 102 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (`/) O SEL f 7 05 WASTE OIL ( 7 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: X (. 7 GAUGE f ) INCHES (X) CM [ 1 UNKNOWN <br /> B. ( 7 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( l 03 LINED <br /> D. t ) 01 CARBON STEEL t 7 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE f ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (08/29/86) PAGE 1 <br />